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Long-Term Care insurance may pay for skilled, intermediate, custodial, home health, or adult day care. Each policy defines these terms differently. Some policies make no distinction among the levels of care; they pay regardless of the level of care received. As a result of a recent federal law (P.L. 104-191), qualified Long-Term Care insurance contracts issued after January 1, 1997 are generally to be treated the same as other health and accident insurance contracts. Amounts received by a chronically ill individual under such contracts, up to $280 per day (indexed for inflation), will be excludable from taxable income. Amounts received in excess of $280 per day will be excludable only to the extent used to cover actual Long-Term Care services.

Self-Insured Group Health Plans. Plans set up by employers who set aside funds to pay their employees' health claims. Because employers often hire insurance companies to run these plans, they may look to you just like fully insured plans. Employers must disclose in your benefits information whether an insurer is responsible for funding, or for only administering the plan. If the insurer is only administering the plan, it is self-insured. Self-insured plans are regulated by the U.S. Department of Labor, not by the state of USA. However, self-insured plans that are also state or local government plans are regulated by the state of USA and subject to state law.



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